Claire Godfrey Postgraduate Fund 2014-15 Important: please read these guidance notes very carefully before completing the form. If you still require clarification before submitting your application form please contact funding@kcl.ac.uk What is the Claire Godfrey Postgraduate Fund? The Fund was established in memory of Claire Godfrey, a professional photographer, who died at the age of thirty-two. The objective of the fund is to support postgraduate students at King s who are suffering unexpected, study-related, financial hardship. For 2014-15, there is one scholarship worth 1,000 available. Am I eligible to apply? Applications are invited from postgraduate students from all Schools of study at King s College London, who are able to provide evidence of financial need and an academic reference. In order to be eligible to apply, you must be a home student for fee purposes. How do I complete the application form? Please ensure you answer all questions and complete all sections of the form. The questions on the form are designed to establish your financial situation and circumstances as clearly as possible. We want to ensure that eligible students in the greatest need receive the available funds. You will need to supply documentary evidence of your financial circumstances with your application (see checklist below). If these are not supplied, your application will not be considered. The closing date for applications is Friday 10 th April 2015. What should I do with my completed application? Completed applications should be handed in or sent to: Student Funding Office, King s College London, Rm. G31 James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA When will I know the outcome of my application? Provided your application form has been accurately completed and the appropriate documentary evidence supplied, you will be notified of the decision before the end of May 2015. Student Checklist Bursary/Scholarship Letter Student Loan Company statement of accrued debt (including loans from previous degree, if appropriate) CDL / Professional Studies Loan Agreement (including loans from previous degree, if appropriate) 3 months of Bank / Building Society statements for all accounts held 3 months of credit card statements Evidence of Rent / Mortgage Evidence of benefits claimed Please submit photocopies only, as originals cannot be returned. 1
Part 1: Your Personal Details KCL Student Number Surname Forenames (in full) Date of Birth (dd/mm/yyyy) / / E-mail Address Part 2: Current Course Details Full Course Title Qualification (e.g. MA, PGDip) Taught or Research? Year of Course 1 2 3 4 5 6 Expected Course Completion Date / / Part 3: Your Dependants Do you have any financial dependents who are resident with you? Yes Give details Full Name Date of Birth Age No Part 4: Disability / Special Medical Needs Have you applied for Disabled Students Allowance (DSA)? Yes No Do you have a disability or chronic medical condition which incurs extra costs? Yes No If yes, please give details 2
Part 5: Financial Details How much are your tuition fees for 2014-15? If you have fees outstanding for 2014-15, what amount? 17 Please indicate below how your fees are being paid, and in what proportion: Self CDL/PSL Parents/Guardian NHS Bursary Partner/Spouse Other Please Specify If you have a Professional / Career Development Loan, what is the total and how much has yet to be paid out to you? Total Awaiting Payment Accommodation Details: do you live: alone with Partner/Spouse in shared accommodation in a Hall of Residence with Parents/Guardian How many other adults live at this address? Do you pay your own rent, and if so, how much is this? No Yes Do you share all household bills? No Yes 3
Part 6a: Student and Partner Income (Monthly) Student CDL / Other Loan NHS Bursary / Other Bursary / Scholarship Professional Studies Loan Earnings from Work Parental / Partner Contribution Child Tax Credit / Child Benefit Working Tax Credit Housing / Council Tax Benefit Income Support Jobseekers Allowance Disability Benefits Other Earnings (please specify) Partner Total Student and Partner Monthly Income Part 6b: Student and Partner Expenditure (Monthly) Student Food / Household / Laundry Gas / Electricity / Water Telephone (landline only) TV Licence Contents Insurance Council Tax Credit Cards Rent / Mortgage Travel Costs (daily travel during term time) Childcare Costs Private Vehicle Costs (road tax, fuel, insurance, etc) Books, Equipment & Other Course Costs Disability Costs not covered by DSA Partner Other Costs (please specify) Total Student and Partner Monthly Expenditure 4
Part 7: Supporting Statement Please provide a statement on your current financial situation including: i) an account of how you have come to be in financial difficulties; ii) a comprehensive list of your current sources of funding and other income not included in previous sections; iii) an account of your existing financial commitments; iv) details of other sources applied to for assistance including amounts applied for and application outcomes, v) an explanation of how you intend to use the grant if your application is successful. 5
Part 8: Bank / Building Society Details You must declare all of your bank / building society accounts below. You must supply copies of your last three months of bank statements and /or savings book relating to each of the below accounts. These statements must show your name, address and bank details mini statements are not acceptable. Please submit photocopies only, as originals will be kept. Please explain any debits or credits over 100 that appear on your statements by annotation. (a) Name of Bank / Building Society Overdraft Limit Type of Account (e.g. Student, Savings, Current) Current Balance (b) Name of Bank / Building Society Overdraft Limit Type of Account (e.g. Student, Savings, Current) Current Balance (c) Name of Bank / Building Society Overdraft Limit Type of Account (e.g. Student, Savings, Current) Current Balance Part 9: Declarations I declare that the information that I have given on this form is correct and complete to the best of my knowledge. I understand that giving false information will automatically disqualify my application and disciplinary action may ensue. Your Name (in capitals) Your Signature Date 6